MEDICARE: MS. ANGELA C. DEMAIO LCSW, LISAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LISAC-10968	AZ
2	1041C0700X	Clinical Social Worker	LCSW-11312	AZ

General Provider Information

NPI Number	:	1346258415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANGELA C. DEMAIO LCSW, LISAC

Provider Business Mailing Address
First Line	:	1339 E FORT LOWELL RD
Second Line	:	APT. D
City	:	TUCSON
State	:	AZ
Zip	:	85719-2217
Country	:	US
Telephone Number	:	520-323-2448
Fax Number	:

Provider Business Practice Location Address
First Line	:	5380 E KACHINA ST
Second Line	:	BLDG. 4220
City	:	DAVIS MONTHAN AFB
State	:	AZ
Zip	:	85707-4923
Country	:	US
Telephone Number	:	520-228-2104
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1700863008 — DR. KATHERINE SUSAN REARDEN LCSW, ACSW, BCD
Practice Location Address:

5380 E KACHINA ST , DAVIS-MONTHAN AFB
TUCSON, AZ
85707-4923

Practice Phone: 520-228-4926
Practice Fax: 520-228-5283

1417934662 — DR. GERALD FRANK BUNTING-BLAKE M.D.
Practice Location Address:

5380 E KACHINA ST
DAVIS MONTHAN A F B, AZ
85707-4923

Practice Phone: 520-228-4926
Practice Fax:

1447238290 — DR. JENNIFER M MCCLURE PSY.D
Practice Location Address:

5380 E KACHINA ST
DAVIS MONTHAN A F B, AZ
85707-4923

Practice Phone: 520-228-4926
Practice Fax: 520-228-5283

1891782314 — MS. WENDY W PIPENTACOS MSW, LCSW
Practice Location Address:

5380 E KACHINA ST
TUCSON, AZ
85707-4923

Practice Phone: 520-228-2104
Practice Fax: 520-228-5283

1881672277 — MRS. MELISSA DIONE FRODGE LCSW
Practice Location Address:

5380 E KACHINA ST , BLDG. 4220
TUCSON, AZ
85707-4923

Practice Phone: 520-228-2104
Practice Fax:

1164494258 — MS. HEIDI JOYCE BLANK LCSW
Practice Location Address:

5380 E KACHINA ST , 355TH MDOS/SGOH
TUCSON, AZ
85707-4923

Practice Phone: 520-228-4926
Practice Fax:

Directions to “ MS. ANGELA C. DEMAIO LCSW, LISAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.